Provider Demographics
NPI:1538787767
Name:DENTERLEIN, CHRISTINA JEANETTE (RN)
Entity type:Individual
Prefix:
First Name:CHRISTINA
Middle Name:JEANETTE
Last Name:DENTERLEIN
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5156 SPRINGLEAF DR
Mailing Address - Street 2:
Mailing Address - City:LIBERTY TWP
Mailing Address - State:OH
Mailing Address - Zip Code:45011-0789
Mailing Address - Country:US
Mailing Address - Phone:513-519-8376
Mailing Address - Fax:
Practice Address - Street 1:5156 SPRINGLEAF DR
Practice Address - Street 2:
Practice Address - City:LIBERTY TWP
Practice Address - State:OH
Practice Address - Zip Code:45011-0789
Practice Address - Country:US
Practice Address - Phone:513-519-8376
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-07-14
Last Update Date:2020-07-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes172A00000XOther Service ProvidersDriver